JASON M GRACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164223

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

GRACE

Business Name

JASON M GRACE

Original Issue Date

09/28/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ESSEX

State

Zip

60935

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2008